| Debra Ann Carter Lpcc Llc | |
|
3321b Candelaria Rd Ne Ste 402 Albuquerque NM 87107-1908 | |
| (505) 205-0763 | |
| Not Available |
| Full Name | Debra Ann Carter Lpcc Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3321b Candelaria Rd Ne Ste 402, Albuquerque, New Mexico |
| Authorized Official Name and Position | Mari-anne Chaney (OFFICE MANAGER) |
| Authorized Official Contact | 5055543435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Ann Carter Lpcc Llc 621 Madeira Dr Se Albuquerque NM 87108-3613 Ph: (505) 205-0763 | Debra Ann Carter Lpcc Llc 3321b Candelaria Rd Ne Ste 402 Albuquerque NM 87107-1908 Ph: (505) 205-0763 |
| NPI Number | 1952901647 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/30/2020 |
| Medicare PECOS PAC ID | 2567815764 |
|---|---|
| Medicare Enrollment ID | O20240124001243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952901647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Debra A Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821227455 PECOS PAC ID: 1355794561 Enrollment ID: I20240207000209 |
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